Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.57 / $685.31 / $3,429.83	Professional		$613.57	$685.31	$3,429.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.50 / $772.02 / $1,139.29	Professional		$695.50	$772.02	$1,139.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.51 / $1,661.51 / $1,661.51	Facility		$1,661.51	$1,661.51	$1,661.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.39 / $827.78 / $1,235.69	Professional		$519.39	$827.78	$1,235.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $803.94 / $1,889.33	Professional		$4.80	$803.94	$1,889.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,585.88 / $3,585.88 / $3,585.88	Facility		$3,585.88	$3,585.88	$3,585.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $669.95 / $2,576.36	Professional		$3.60	$669.95	$2,576.36
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.29 / $740.46 / $1,191.67	Professional		$567.29	$740.46	$1,191.67